| NPI | 1932580545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNE WALLACE Chief Executive Officer 216-441-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: OH 0708) |
| Additional Taxonomies | 261QM0801X (Licence: OH 0708) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2017-04-21 |